A qualitative study of innovations implemented to improve transition of care from maternity to child and family health (CFH) services in Australia

Psaila, Kim, Fowler, Cathrine, Kruske, Sue and Schmied, Virginia (2014) A qualitative study of innovations implemented to improve transition of care from maternity to child and family health (CFH) services in Australia. Women and Birth, 27 4: e51-e60. doi:10.1016/j.wombi.2014.08.004


Author Psaila, Kim
Fowler, Cathrine
Kruske, Sue
Schmied, Virginia
Title A qualitative study of innovations implemented to improve transition of care from maternity to child and family health (CFH) services in Australia
Journal name Women and Birth   Check publisher's open access policy
ISSN 1878-1799
1871-5192
Publication date 2014-12
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.wombi.2014.08.004
Open Access Status
Volume 27
Issue 4
Start page e51
End page e60
Total pages 10
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Background
The transition of care (ToC) from maternity services, particularly from midwifery care to child and family health (CFH) nursing services, is a critical time in the support of women as they transition into early parenting. However significant issues in service provision exist, particularly meeting the needs of women with social and emotional health risk factors. These include insufficient resources, poor communication and information transfer, limited interface between private and public health systems and tension around role boundaries. In response some services are implementing strategies to improve the transition of care from maternity to CFH services.

Aim
This paper describes a range of innovations developed to improve transition of care between maternity and child and family health services and identifies the characteristics common to all innovations.

Methods
Data reported were collected in phase three of a mixed methods study investigating the feasibility of implementing a national approach to child and family health services in Australia (CHoRUS study). Data were collected from 33 professionals including midwives, child and family health nurses, allied health staff and managers, at seven sites across four Australian states. Data were analysed thematically, guided by Braun and Clarke's six-step process of thematic analysis.

Findings
The range of innovations implemented included those which addressed; information sharing, the efficient use of funding and resources, development of new roles to improve co-ordination of care, the co-location of services and working together. Four of the seven sites implemented innovations that specifically targeted families with additional needs. Successful implementation was dependent on the preliminary work undertaken which required professionals and/or organisations to work collaboratively.

Conclusion
Improving the transition of care requires co-ordination and collaboration to ensure families are adequately supported. Collaboration between professionals and services facilitated innovative practice and was core to successful change.
Keyword Midwives
Child and family health nurses
Transition of care
Maternity services
Child and family health services
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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